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Completed?
(Yes/No)		Details / NotesLinks/References
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Existing Infrastructure
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How facility data is produced?
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What existing sources of facility data exist?
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Is there a master facility lists available already?
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Is there a system operating as a facility registry?
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Are any systems currently sharing facility data? Via API?
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Health Facility Data
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Has a health facility census or master health facility list been completed?
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Are there existing forms used to collect facility data?
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Have existing sources of facility data been identified and collected?
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System Specifications
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Has a functional requirement document been created?
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Has a data specification document been created?
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What sort of auditing will they need to do?
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What kind of reports will be required from the system?
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Standard Operating Procedures and Policies
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Who manages the facility registry or existing facility data sources?
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Who will have access to the facility registry?
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What is the process to add/edit/delete/share facility data?
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What roles are accountable?
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Is there data collection/aggregation needs? (e.g., mashing up existing datasets, cleanup and aggregation, process to go out and refresh/census facility data)
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Who will create evolve the data dictionary?
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ICT procurement process: Who decides and how/whether to build or buy a solution and any hardware required?
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Have the lead point of contacts been identified for stakeholders and are communication channels and proceses clear?
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Support and Infrastructure
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Have IT and support related risks been identified?
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Is helpdesk and user support available?
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Is data support available?
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Is operations support available?
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Is developer support available?
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Is physical IT infrastructure in place and ready? (e.g.,hosting, servers, etc.)
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